Mattie Costill, LPCMH

NPI #1346690112 in Lewes, Delaware

Provider Information

NPI Number
1346690112
Entity Type
Individual
Name
Mattie Costill, LPCMH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPCMH
Enumeration Date
Jun 13, 2016
Last Updated
Jun 13, 2016

Practice Location

Address
17021 OLD ORCHARD RD
City
Lewes
ZIP Code
19958-4832
Phone
(302) 703-6332

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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